<!DOCTYPE html>
<html>
	<head>
		<meta charset="utf-8">
		<title></title>
		<style type="text/css">
			#d3{
				background-color: darkgray;
				width: 300px;
				height: 200px;
				color: white;
				margin: 0 auto;
			}
		</style>
	</head>
	<body>
		<div id="d3">
			<h5 align="center">送货地址确认</h5>
			<table>
				<tr>
					<td>省份:</td>
					<td>
						<select>
							<option>北京市</option>
							<option>上海市</option>
							<option>河南省</option>
							<option>江苏省</option>
							<option>四川省</option>
						</select>
					</td>
				</tr>
				<tr>
					<td>市/区:</td>
					<td>
						<select>
							<option>海淀区</option>
							<option>朝阳区</option>
							<option>洛阳市</option>
							<option>周口市</option>
							<option>许昌市</option>
							<option>信阳市</option>
							<option>成都市</option>
							<option>苏州市</option>
							<option>南京市</option>
						</select>
					</td>
				</tr>
				<tr>
					<td>街道:</td>
					<td><input type="text" size="20" maxlength="30" value=""></td>
				</tr>
				<tr>
					<td>门牌号:</td>
					<td><input type="text" size="20" maxlength="30" value=""></td>
				</tr>
				<tr>
					<td></td>
					<td colspan="2"><input type="button" value="确定"></td>
				</tr>
			</table>
		</div>
	</body>
</html>
